Changes in health-promoting behavior following diagnosis with HIV: Prevalence and correlates in a national probability sample.

Rl, Collins; De, Kanouse; Al, Gifford; Jw, Senterfitt; Schuster, MA; McCaffrey, DF; Mf, Shapiro; Nk, Wenger

doi:10.1037/0278-6133.20.5.351

Cited by 81 publications

(81 citation statements)

References 55 publications

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“…Recently exchanged sex was based on reports of giving or getting sex with any partner during the past 6 months in exchange for money or drugs. HIV services, as potential sources of risk reduction resources, 36,37 were also included in the model. Medical care, receipt of case management and other social services were assessed at each interview.…”

Section: Methodsmentioning

confidence: 99%

HIV-Positive Men Sexually Active with Women: Sexual Behaviors and Sexual Risks

Aidala

Lee

Howard³

et al. 2006

J Urban Health

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This study examines patterns of sexual behavior, sexual relating, and sexual risk among HIV-positive men sexually active with women. A total of 278 HIV-positive men were interviewed every 6-12 months between 1994 and 2002 and reported considerable variability in sexual behaviors over time. Many were not sexually active at all for months at a time; many continued to have multiple female and at times male partners. Over one-third of the cohort had one or more periods when they had engaged in unprotected sex with a female partner who was HIV-negative or status unknown (unsafe sex). Periods of unsafe sex alternated with periods of safer sex. Contextual factors such as partner relations, housing status, active drug use, and recently exchanging sex showed the strongest association with increased odds of unsafe sex. A number of predictors of unsafe sex among African American men were not significant among the Latino sub-population, suggesting race/ethnic differences in factors contributing to heterosexual transmission. Implications for prevention interventions are discussed.

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Section: Methodsmentioning

confidence: 99%

HIV-Positive Men Sexually Active with Women: Sexual Behaviors and Sexual Risks

Aidala

Lee

Howard³

et al. 2006

J Urban Health

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“…This issue has important implications for assessment and intervention. Many people with HIV want to improve their health (Collins et al, 2001); and, developing effective smoking cessation interventions is particularly important in this population. The few extant studies of smoking cessation interventions among HIV+ smokers have shown promise (Vidrine et al, 2006;Wewers et al, 2000), and a better understanding of psychological and health status correlates of smoking among HIV+ people could enhance existing interventions.…”

mentioning

confidence: 99%

Cigarette Smoking among HIV+ Men and Women: Examining Health, Substance Use, and Psychosocial Correlates across the Smoking Spectrum

et al. 2007

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The prevalence of cigarette smoking among HIV+ individuals is greater than that found in the general population. However, factors related to smoking within this population are not well understood. This study examined the associations between smoking and demographic, medical, substance use, and psychosocial factors in a clinic-based sample of HIV+ men and women. Two hundred twelve participants completed self-report measures of tobacco use, HIV-related symptoms, viral load, CD4, alcohol and illicit drug use, depression, and social support. Multinomial logistic regression analyses modeled the independent associations of the cross-sectional set of predictors with smoking status. Results indicated that 74% of the sample smoked at least one cigarette per day; using standard definitions, 23% of the sample were light smokers, 22% were moderate smokers, and 29% smoked heavily. Smoking was associated with more HIV-related symptoms, greater alcohol and marijuana use, and less social support. Light smoking was related to minority race/ethnicity and less income; moderate smoking was associated with less education; and heavy smoking was related to less education and younger age. Viral load, CD4 count, and depression were not associated with smoking status. Psychosocial interventions targeting this population should consider the relationships between biopsychosocial factors and smoking behavior. High Smoking Prevalence among HIV+ Men and Women: Examining Health, Substance Use, and Psychosocial Correlates across the Smoking SpectrumSmoking is highly prevalent among persons living with HIV and may contribute to premature morbidity and mortality. Among HIV+ individuals, prevalence rates of smoking range from 50% to 70% (Burkhalter et al., 2005;Miguez-Burbano et al., 2005;Niaura et al., 2000) compared to 21% for the general population (CDC, 2005). Smoking is strongly associated with two of the primary causes of illness and death in HIV+ patients: community-acquired pneumonia (CAP) and Pneumocystis jiroveci pneumonia (formerly known as Pneumocystis ciroveci; Arcavi & Benowitz, 2004;Miguez-Burbano et al., 2005). HIV+ smokers are also at increased risk for oral lesions (Palacio et al., 1997) Beck & Slade, 1996), and AIDS-related spontaneous pneumothorax (Metersky et al., 1995).Young smokers infected with HIV may be particularly vulnerable to malignant tumors, such as lung cancer (Patel et al., 2006;Spano et al., 2004). Moreover, smoking by HIV+ patients may facilitate the progression to Acquired Immune Deficiency Syndrome (AIDS) (Neiman et al., 1993).Evidence also suggests that smoking has adverse effects on the health-related quality of life (HRQL) of HIV+ men and women. Vidrine et al. (2006) tested a framework for HRQL of life among HIV+ individuals. They found that HRQL is influenced by relationships among physical symptoms, and cognitive, psychological, and social functioning (Brenner et al., 1995;Wilson & Cleary, 1995). They also found that smoking, alcohol use, and SES impair overall HRQL. Other work has also found rel...

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“…It has been shown that an HIV diagnosis can encourage individuals to improve their physical activity habits and to revert to a healthier diet. 30 Although the overall effect of physical activity on HIVinfected individuals has been confi rmed, most studies have not demonstrated an eff ect on viral load or immunological indices. 28 Nonetheless, the safety of physical participation and its positive contribution to the psychological wellness of the HIV population has been established.…”

Section: Discussionmentioning

confidence: 99%